Provider Demographics
NPI:1003235185
Name:PARIKH, DEEP U (MD)
Entity Type:Individual
Prefix:
First Name:DEEP
Middle Name:U
Last Name:PARIKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 OLD COUNTRY RD STE 366
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-4240
Mailing Address - Country:US
Mailing Address - Phone:516-882-3080
Mailing Address - Fax:646-290-8008
Practice Address - Street 1:200 OLD COUNTRY RD STE 366
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4240
Practice Address - Country:US
Practice Address - Phone:516-882-3080
Practice Address - Fax:646-290-8008
Is Sole Proprietor?:No
Enumeration Date:2014-04-16
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA278580207W00000X
NY280901207WX0107X, 207WX0108X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207WX0108XAllopathic & Osteopathic PhysiciansOphthalmologyUveitis and Ocular Inflammatory Disease